Skip to main content

Table 7 Keys to success for OHNS boot camps.

From: The Otolaryngology boot camp: a scoping review evaluating commonalities and appraisal for curriculum design and delivery

Boot camp Feature

Suggestions

Format

One to Seven-day camp

Participants

PGY-1 or PGY-2 (junior learners)

Instructors

Multidisciplinary instructors (combined OHNS/Anesthesia/Emergency Medicine)

Curriculum: Boot camp objectives

1. Recognize and triage typical OHNS emergencies: airway obstruction and management (infectious obstruction, foreign body, airway bleeding), post-operative bleeding, epistaxis, post-operative medical complications, neck trauma, blocked tracheostomy, and flexible nasal endoscopy

2. Use systematic assessment and management principles taught through ALS and ATLS

3. Perform basic emergency management skills

4. Communicate effectively with the team

Curriculum: Content

Didactic Component

 Traditional lecture styles focused on approach and management of typical OHNS emergencies (as above)

Task trainer stations

 Airway: BMV, tracheal intubation, microlaryngoscopy/bronchoscopy, flexible fiberoptic laryngoscopy

 Surgical techniques and care: basics of surgical instruments, cricothyroidotomy, tracheostomy, tracheostomy tube change

 Presentation specific management: epistaxis, post tonsillectomy bleed, PTA

High yield simulation stations

 OHNS-specific simulation: Airway obstruction (post thyroidectomy hematoma, infectious angioedema), epistaxis, post tonsillectomy bleed

 General team-based simulation: postoperative safe handoff, post-operative medical complications (post-obstructive pulmonary edema, post-operative stroke)

Feedback

Facilitation of a safe learning environment with emphasis on resident experience

Structured written feedback

 Preparation (assessment of situation), clinical reasoning, knowledge, technical skills82 (see Amin et al.)

Simulation feedback

 Structured debrief and feedback on performance immediately post session

Beyond Boot camp

Base boot camp within other welcoming to the profession activities/institutional rituals (welcome Barbeque, resident retreat etc.)

  1. Suggested boot camp features
  2. ALS: advanced life support, ATLS: advanced trauma life support, OHNS: otolaryngology–head and neck surgery, PTA: peritonsillar abscess